MEDICARE: UNITED HEALTH CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	1223D0001X	Public Health Dentistry
3	122300000X	Dentist	NC
4	261QF0400X	Federally Qualified Health Center (FQHC)	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811136476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED HEALTH CENTER

Provider Business Mailing Address
First Line	:	PO BOX 12341
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27117-2341
Country	:	US
Telephone Number	:	336-293-8728
Fax Number	:	336-293-8733

Provider Business Practice Location Address
First Line	:	2101 PETERS CREEK PKWY STE 16-19
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-3726
Country	:	US
Telephone Number	:	336-955-1379
Fax Number	:	336-893-9987

Authorized Official
Title or Position	:	CEO
Name	:	RODERIC BROWN
Credential	:
Telephone Number	:	336-955-1379

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	10/22/2025

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Directions to “UNITED HEALTH CENTER ” Practice Location

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